Individual provider Active NPI

Van Brandon Foles, MD

  • Surgery Physician
  • Milton, FL
National Provider Identifier
1134550056
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME116335 Issued in FL
Practice address
5992 Berryhill Rd
Suite 203
Milton, FL 32570-1013
Phone
(850) 626-5391
Fax
(850) 626-5388
NPI assigned
Dec 3, 2013
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME116335 FL Primary

Addresses

Primary practice location

5992 Berryhill Rd
Suite 203
Milton, FL 32570-1013

Mailing address

5992 Berryhill Rd
Suite 203
Milton, FL 32570-1013
Phone (850) 626-5391

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address van.foles@srmcfl.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160924000229 FL Practitioner - General Surgery 8022248426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

4225 Woodbine Rd
Pace, FL 32571-8791
Phone (850) 994-6575

5992 Berryhill Rd
Milton, FL 32570-1014

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC Surgery CurrentSince Aug 1, 2016 Accepting new patients

Locations

5992 Berryhill Rd
Ste 203
Milton, FL 32570
Phone (850) 626-2131

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

6072 Doctors Park
Milton, FL 32570
Phone (850) 626-5447

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

5595 Woodbine Rd
Pace, FL 32571
Phone (850) 981-7746

Interoperability endpoints

  • Direct secure messaging: van.foles.1@4692.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1134550056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "address_2": "SUITE 203",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-626-5391",
            "fax_number": "850-626-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD",
            "address_2": "SUITE 203",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701013",
            "telephone_number": "850-626-5391",
            "fax_number": "850-626-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLES",
        "first_name": "VAN",
        "middle_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME116335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "van.foles@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "5992 Berryhill Rd",
            "address_2": "SUITE 203",
            "city": "Milton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325701013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.